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February Articles 2015

Getting Back into Sports after Foot and Ankle Injuries

One of the most common injuries that athletes suffer from is a sprained ankle, a very painful and frustrating problem. A sprained ankle usually causes one to avoid participating in sports, and once someone has sprained their ankle, they are very likely to sprain it again.

To get back into sports after a sprained ankle, one should follow the RICE method, which is consistently recommended by physical therapists and sports medicine doctors. The RICE method involves rest, ice, compression, and elevation. If one follows the RICE method soon after experiencing a sprained ankle, he or she will likely get back to the playing fields in no time. In addition to using the RICE method, an athlete should wear an ankle brace after experiencing a sprained ankle to help alleviate the pain and keep the ankle safe until it heels. A brace will also help to stabilize the ankle, and prevent serious injuries in the future. Many times, people suffer from sprained ankles due to weak ligaments near the ankle; because an ankle brace keeps the ligaments in the foot from moving too much, it will help someone avoid this injury.

Fractures in the foot and ankle are another common type of injury athletes suffer. Stress fractures typically occur in the bones of the forefoot. An athlete will usually experience stress fractures if he or she partakes in a sudden increase in athletic training. A stress fracture can be either stable or displaced. A stable stress fracture involves no shift in bone alignment, while a displaced stress fracture involves bone ends that no longer line up.

After an athlete has a stress fracture in the foot, he or she will immediately need to see a doctor. Rest is usually the key to treat this problem. One will have to refrain from any strenuous activities or the sports that caused the injury. A doctor or specialist may be able to pinpoint the specific part of an athlete's training that caused the stress fracture. If this is possible, then an athlete will not have to worry about refraining from his or her sport in the future; he or she will simply have to stop training in such a way that an ankle or foot injury results.

The key for any athlete is to care about the treatment process for an ankle or foot injury. Athletes need to rest and take time before hitting the fields. The more an athlete invests in the treatment and recovery process, the more likely he or she will be able to return back to normal athletic performance.


How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear. 

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility. 


All About Broken Ankles

Broken ankles are a very serious injury which, if not properly treated, can lead to continuous pain and an inability to walk. An ankle is made up of at least three major bones--the tibia, fibula, and talus. The tibia and fibula are the two bones that connect to your knees. They sit directly upon the talus bone, protected by a fibrous membrane that allows slight movement in our ankle joint. When the ankle is broken, it is because the foot rolled under or twisted too far, causing one or more of these three bones to break.

An ankle sprain occurs when ligaments are ripped or torn but no bones were broken. A sprain can be very severe, causing severe bruising of the foot and an inability to hold weight. In the case of broken ankles, the bones broken in this region could be numerous. If a person cannot stand their own weight on their ankle then it is most likely a broken ankle. The best thing to do if you suspect you have a broken ankle is to get an x-ray to determine the severity of the break immediately. The longer you wait to be diagnosed, the longer the healing process will take.

The most common cause of a broken ankle is when the foot has rolled over on itself, usually while engaged in exercise, physical activity, or sports. Another common cause is from a jump of great height. It is most important to seek medical treatment if one suspects they have broken ankles. A doctor can determine if surgery is needed in order to heal correctly. Without medical assistance after such an injury, a person may suffer severe arthritis and pain later in life. In some cases, an operation may be the only option to ensure the ability to walk properly again.

Broken ankles will cause severe pain. It will help to elevate the feet above your head to reduce blood flow to the injured area, as well as applying ice to the ankles to help decrease swelling. If surgery is required, it usually means an ankle cast for at least three months and then rehabilitation. Rehabilitation can be painful, using atrophied muscles and building tendon strength.

It is important to determine if surgery is needed as a broken ankle can become more severe than you realize. If not professionally treated, the broken ankle bones will inhibit your ability to walk properly.


Getting the Right Shoe Size: To Keep Your Feet Happy

People are constantly wearing the wrong fitting shoes. Though it isn’t hard, picking the right shoes does require keeping a few things in mind.

Shoe stores have rulers, so you can get an exact measurement of your feet. Always measure your feet with shoes on, because measuring just your foot will give you a shoe size that is 1-2 inches too small for picking the right size shoe.

To ensure that your toes won’t be cramped, make sure there is wiggle room. Approximately one inch should be between your toes and the tip of your shoe. It is easy to tell if your shoes are too tight, because you will start to experience pain, blisters, and swelling.

Additionally, do not always assume your shoe size will be the same at every store. Manufacturers sometimes run differently, and your shoe size will vary. Make sure the stores your purchase from have return policies, incase there is a problem.

Rather than shoe shopping in the morning, it is advised to shop for shoes later in the day, since your feet are swelled. If shoes are purchased in the morning, they may not be as snug as they should be. Furthermore, not all two feet are the same size; therefore, accommodations may be necessary.

An overall big concern in buying shoes is making sure they are comfortable and supportive. There is not such thing as a shoe being ‘broken in’. If they are uncomfortable at the store, they likely will always be uncomfortable.

Since we do a lot of walking, it is important that we pick the right shoes. Our feel will only benefit from this, and we will be happier and healthier because of it.


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